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Interventions supporting caregiver readiness when caring for patients with dementia following discharge home: A mixed‐methods systematic review
Author(s) -
Pritchard Elizabeth,
Cussen Amy,
Delafosse Veronica,
Swift Miriam,
Jolliffe Laura,
Yeates Harriet
Publication year - 2020
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12765
Subject(s) - dementia , psychological intervention , inclusion (mineral) , anxiety , caregiver burden , depression (economics) , medicine , qualitative research , psychology , nursing , clinical psychology , psychiatry , disease , social psychology , social science , pathology , sociology , economics , macroeconomics
Objective To explore programs and information provided to caregivers of inpatients with dementia to assist with readiness to provide care following discharge. Methods A mixed‐methods systematic review with meta‐analysis was conducted. Search terms included dementia, inpatient, caregiver, anxiety, discharge and counselling. Results The search yielded 1938 studies (six databases), 13 met the inclusion criteria. Meta‐analysis showed no statistically significant changes in anxiety, depression, burden or quality of life 3 months postintervention. Three emergent qualitative themes for staff consideration are as follows: understanding personal characteristics of both patient and caregiver; presenting an inclusive organisational culture; and providing appropriate information at all stages of admission. A Model of Caregiver Readiness was created from the qualitative results. Conclusion The programs did not significantly decrease the outcomes measured. However, caregivers identified that inclusion at all stages during hospital admission was a vital factor to reduce stress and increase caregiver readiness.